The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2009-5-9 , \ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00629 ISSUED: 05/09/2009 APPLIED: 05/08/2009 EXPIRES: 11/09/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line tV\- \ ~\-\h \>\... SITE ADDRESS: .jjJ. Rf'/ER IIEI(;;HTg BR SPRJNGFIETYPE OF WORK: Plumbing Ouly ASSESSOR'S PARCEL NO.: RIVER HEIGHTS SUB L TYPE OF USE: New PROJECT DESCRIPTION: Install approx ISO' storm line for subdivision plat approval Residential Owner: Address: BREEDEN BROS INC 366 E 40TH STREET #250 EUGENE OR 97405 Phone Number: 541-686-9431 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor License PACIFIC EXCAVATION 135018 BUILDING INFORMATION I Expiration Date 04/23/2011 Phone 541-726-7380 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: . % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvemer~'~TION: Oregon law requires you to Sidewalk Type: Storm Sewer Av~mib[i,.:les adopted by the Oregon Utility NOTlQii,:wnspouts/Drains: Special InstnJ\!ii~tj~ation Center. Those rules are set forth THIS PERMIT S in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNHDAELRL ETXP1RE IF THE WORK Notes: 0090. You may obtain copies of the rules by HIS PER call~ng t~e ~en~r._ (~O~~;},~e :~;p~~,~: 2E~/l~~N9~D OR IS ABANDONF~/~~So NOT 'c'e~t~~-iS-;~800~332-:I':i4.4)I' . D .. i -- ~n, rct1lUU. . Va uatlOn escnptlOn Description Type of Construction $ Pel' Sq Ft or multiplier Square Footage 01' Bid Amount Value Date Calculated Page [ 01'2 ~'0;\\ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00629 ISSUED: 05/09/2009 APPLIED: 05/08/2009 EXPIRES: 11/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fce Storm Sewer - 1st 100' Storm Sewer Each AddtllOO' Amount Paid Date Paid Receipt Number $11.40 $4.75 $76.00 $19.00 518109 518/09 518/09 518109 2200900000000000500 2200900000000000500 2200900000000000500 2200900000000000500 Total Amount Paid $111.15 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reouired InsDections I Storm Sewer Liue: Prior to filling trench. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this projcct. I further agree to ensure that all required inspections are requested at the proper time, that. each address is readable from the street, that the permit card is located at the front of the property, and the approved set of pia us will remain on the site at all times during construction. ~~(~y 5 ~-o~ Owner or Contractors Signature Date Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .n.I~Q~:~.. .. ~....... .... Ii' City of Springfield Official Receipt Development Services Department. Public Works Department RECEIPT #: 2200900000000000500 Date: 05/08/2009 9:03:17AM Job/Journal Number COM2009-00629 COM2009-00629 COM2009-00629 COM2009-00629 Payments: Type of Payment CreditCard Paid By SUSAN BREEDEN Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 76.00 19.00 4.75 11.40 $111.15 Description Storm Sewer - 1st 100' Storm Sewer Each Addtl 100' + 5% Technology Fee + 12% State Surcharge Amount Paid lIh 06575C Phone Payment Total: $111.15 $111.15 cRcceintl Page I of I 5/8/2009